550例高危儿随访情况分析

Analysis the followed-up situation of 550 high-risk children

目的探索高危儿的疾病特征、随访情况及其影响因素。方法对550例高危儿的疾病特征和随访情况进行分析;采用自制的调查问卷,进行失访原因和随访依从性调查。结果首次参加随访的高危儿中,前4位高危因素包括低出生体重、高胆红素血症、窒息或缺氧缺血性脑病和颅内出血,累计比例占83.6%。随访1~2次的高危儿占45.3%,随访≥6次的占40.4%,随访≥12次的占23.1%。失访原因主要源自家长的主观因素。父母文化水平、家长的认知和家长培训情况等因素影响高危儿的随访依从性。结论高危儿随访的失访率仍相对较高。应通过不断完善高危儿的系统管理,加大对高危儿家长宣教力度,以降低失访率,减少高危儿后遗症的发生。

Objective To investigate the characteristics of the disease, followed-up situation and its influencing factors among high-risk children. Methods To analysis the characteristics of the disease and followed-up situation of 550 high-risk children; the questionnaire designed by ourselves was use to investigate the lost causes and follow-up compliance of high-risk children. Results In the first followed-up, the top four risk factors of the follow-up children were low birth weight, hyperbilirubinemia, suffocation or hypoxic-ischemic encephalopathy and intracranial hemorrhage, the cumulative proportion reaches as high as 83.6%. 45.3% of high- risk children just followed up for 1-2 times, 40.4% of high-risk children followed up for more than 6 times, 23.1% of high-risk children followed up for more than 12 times. Parents＇ subjective factor was the mainly lost causes. The level of parents＇ education, parents＇ cognitive level and training situation affected the follow-up compliance of high-risk children. Conclusion The rate of lost follow-up of high-risk children was still high. We must perfect the management of high-risk children and intensify parents＇ propaganda, in order to reduce the rate of lost follow-up and the occurrence of high-risk children＇ s sequelae.